BR112019024303B1 - Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido em fases sucessivas - Google Patents

Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido em fases sucessivas Download PDF

Info

Publication number
BR112019024303B1
BR112019024303B1 BR112019024303-8A BR112019024303A BR112019024303B1 BR 112019024303 B1 BR112019024303 B1 BR 112019024303B1 BR 112019024303 A BR112019024303 A BR 112019024303A BR 112019024303 B1 BR112019024303 B1 BR 112019024303B1
Authority
BR
Brazil
Prior art keywords
ultrasonic
tissue
power
energy
phase
Prior art date
Application number
BR112019024303-8A
Other languages
English (en)
Portuguese (pt)
Other versions
BR112019024303A2 (pt
Inventor
Amy M. Krumm
Ashvani K. Madan
Original Assignee
Ethicon Llc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Llc filed Critical Ethicon Llc
Publication of BR112019024303A2 publication Critical patent/BR112019024303A2/pt
Publication of BR112019024303B1 publication Critical patent/BR112019024303B1/pt

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00026Conductivity or impedance, e.g. of tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00084Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00022Sensing or detecting at the treatment site
    • A61B2017/00106Sensing or detecting at the treatment site ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00137Details of operation mode
    • A61B2017/00154Details of operation mode pulsed
    • A61B2017/00181Means for setting or varying the pulse energy
    • A61B2017/0019Means for setting or varying the pulse width
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00526Methods of manufacturing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320072Working tips with special features, e.g. extending parts
    • A61B2017/320074Working tips with special features, e.g. extending parts blade
    • A61B2017/320075Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B2017/320088Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with acoustic insulation, e.g. elements for damping vibrations between horn and surrounding sheath
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320094Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A61B17/320092Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
    • A61B2017/320095Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/0063Sealing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00648Sensing and controlling the application of energy with feedback, i.e. closed loop control using more than one sensed parameter
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00642Sensing and controlling the application of energy with feedback, i.e. closed loop control
    • A61B2018/00654Sensing and controlling the application of energy with feedback, i.e. closed loop control with individual control of each of a plurality of energy emitting elements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00672Sensing and controlling the application of energy using a threshold value lower
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00666Sensing and controlling the application of energy using a threshold value
    • A61B2018/00678Sensing and controlling the application of energy using a threshold value upper
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00702Power or energy
    • A61B2018/00708Power or energy switching the power on or off
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00714Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00755Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00696Controlled or regulated parameters
    • A61B2018/00761Duration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00779Power or energy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00791Temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00845Frequency
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/00875Resistance or impedance
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636Sensing and controlling the application of energy
    • A61B2018/00773Sensed parameters
    • A61B2018/0088Vibration
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/00928Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device by sending a signal to an external energy source
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00994Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1452Probes having pivoting end effectors, e.g. forceps including means for cutting
    • A61B2018/1457Probes having pivoting end effectors, e.g. forceps including means for cutting having opposing blades cutting tissue grasped by the jaws, i.e. combined scissors and pliers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1467Probes or electrodes therefor using more than two electrodes on a single probe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Otolaryngology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Dentistry (AREA)
  • Mechanical Engineering (AREA)
  • Surgical Instruments (AREA)
BR112019024303-8A 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido em fases sucessivas BR112019024303B1 (pt)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201762509336P 2017-05-22 2017-05-22
US62/509,336 2017-05-22
US15/967,784 2018-05-01
US15/967,784 US11259856B2 (en) 2017-05-22 2018-05-01 Combination ultrasonic and electrosurgical instrument and method for sealing tissue in successive phases
PCT/US2018/033311 WO2018217552A1 (fr) 2017-05-22 2018-05-18 Instrument combiné à ultrasons et électro-chirurgical et procédé permettant de sceller un tissu en phases successives

Publications (2)

Publication Number Publication Date
BR112019024303A2 BR112019024303A2 (pt) 2020-06-16
BR112019024303B1 true BR112019024303B1 (pt) 2024-01-09

Family

ID=64269673

Family Applications (6)

Application Number Title Priority Date Filing Date
BR112019024303-8A BR112019024303B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido em fases sucessivas
BR112019023459-4A BR112019023459B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com modalidades de energia ajustáveis e método para vedar tecido e inibir ressecção de tecido
BR112019024297-0A BR112019024297B1 (pt) 2017-05-22 2018-05-18 Instrumento cirúrgico ultrassônico e método de fabricação do mesmo
BR112019024345-3A BR112019024345B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido com múltiplos parâmetros de interrupção
BR112019023456-0A BR112019023456B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com entrada de posição do braço de aperto e método para identificação de estado do tecido
BR112019023653-8A BR112019023653B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com modalidades de energia ajustável

Family Applications After (5)

Application Number Title Priority Date Filing Date
BR112019023459-4A BR112019023459B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com modalidades de energia ajustáveis e método para vedar tecido e inibir ressecção de tecido
BR112019024297-0A BR112019024297B1 (pt) 2017-05-22 2018-05-18 Instrumento cirúrgico ultrassônico e método de fabricação do mesmo
BR112019024345-3A BR112019024345B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico para cauterizar tecido com múltiplos parâmetros de interrupção
BR112019023456-0A BR112019023456B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com entrada de posição do braço de aperto e método para identificação de estado do tecido
BR112019023653-8A BR112019023653B1 (pt) 2017-05-22 2018-05-18 Instrumento eletrocirúrgico e ultrassônico com modalidades de energia ajustável

Country Status (7)

Country Link
US (9) US11229474B2 (fr)
EP (6) EP3634268B1 (fr)
JP (7) JP2020520725A (fr)
CN (6) CN110662499B (fr)
BR (6) BR112019024303B1 (fr)
MX (7) MX2019013903A (fr)
WO (6) WO2018217549A1 (fr)

Families Citing this family (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11871901B2 (en) 2012-05-20 2024-01-16 Cilag Gmbh International Method for situational awareness for surgical network or surgical network connected device capable of adjusting function based on a sensed situation or usage
US11504192B2 (en) 2014-10-30 2022-11-22 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11229474B2 (en) 2017-05-22 2022-01-25 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument with adjustable energy modalities and method for limiting blade temperature
US11051866B2 (en) 2017-05-22 2021-07-06 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument having ultrasonic waveguide with distal overmold member
US11534226B2 (en) * 2017-09-22 2022-12-27 Covidien Lp Systems and methods for minimizing arcing of bipolar forceps
US11564756B2 (en) 2017-10-30 2023-01-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11510741B2 (en) 2017-10-30 2022-11-29 Cilag Gmbh International Method for producing a surgical instrument comprising a smart electrical system
US11819231B2 (en) 2017-10-30 2023-11-21 Cilag Gmbh International Adaptive control programs for a surgical system comprising more than one type of cartridge
US11911045B2 (en) 2017-10-30 2024-02-27 Cllag GmbH International Method for operating a powered articulating multi-clip applier
US11801098B2 (en) 2017-10-30 2023-10-31 Cilag Gmbh International Method of hub communication with surgical instrument systems
US11744604B2 (en) 2017-12-28 2023-09-05 Cilag Gmbh International Surgical instrument with a hardware-only control circuit
US11602393B2 (en) 2017-12-28 2023-03-14 Cilag Gmbh International Surgical evacuation sensing and generator control
US11666331B2 (en) 2017-12-28 2023-06-06 Cilag Gmbh International Systems for detecting proximity of surgical end effector to cancerous tissue
US11424027B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Method for operating surgical instrument systems
US11832899B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical systems with autonomously adjustable control programs
US11166772B2 (en) 2017-12-28 2021-11-09 Cilag Gmbh International Surgical hub coordination of control and communication of operating room devices
US11903601B2 (en) 2017-12-28 2024-02-20 Cilag Gmbh International Surgical instrument comprising a plurality of drive systems
US11857152B2 (en) 2017-12-28 2024-01-02 Cilag Gmbh International Surgical hub spatial awareness to determine devices in operating theater
US11559307B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method of robotic hub communication, detection, and control
US20190201113A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Controls for robot-assisted surgical platforms
US11998193B2 (en) 2017-12-28 2024-06-04 Cilag Gmbh International Method for usage of the shroud as an aspect of sensing or controlling a powered surgical device, and a control algorithm to adjust its default operation
US11559308B2 (en) 2017-12-28 2023-01-24 Cilag Gmbh International Method for smart energy device infrastructure
US10892995B2 (en) 2017-12-28 2021-01-12 Ethicon Llc Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11672605B2 (en) 2017-12-28 2023-06-13 Cilag Gmbh International Sterile field interactive control displays
US10595887B2 (en) 2017-12-28 2020-03-24 Ethicon Llc Systems for adjusting end effector parameters based on perioperative information
US20190201039A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Situational awareness of electrosurgical systems
US11832840B2 (en) 2017-12-28 2023-12-05 Cilag Gmbh International Surgical instrument having a flexible circuit
US11659023B2 (en) 2017-12-28 2023-05-23 Cilag Gmbh International Method of hub communication
US11132462B2 (en) 2017-12-28 2021-09-28 Cilag Gmbh International Data stripping method to interrogate patient records and create anonymized record
US11937769B2 (en) 2017-12-28 2024-03-26 Cilag Gmbh International Method of hub communication, processing, storage and display
US11423007B2 (en) 2017-12-28 2022-08-23 Cilag Gmbh International Adjustment of device control programs based on stratified contextual data in addition to the data
US11202570B2 (en) 2017-12-28 2021-12-21 Cilag Gmbh International Communication hub and storage device for storing parameters and status of a surgical device to be shared with cloud based analytics systems
US11109866B2 (en) 2017-12-28 2021-09-07 Cilag Gmbh International Method for circular stapler control algorithm adjustment based on situational awareness
US11529187B2 (en) 2017-12-28 2022-12-20 Cilag Gmbh International Surgical evacuation sensor arrangements
US11786245B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Surgical systems with prioritized data transmission capabilities
US11969216B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Surgical network recommendations from real time analysis of procedure variables against a baseline highlighting differences from the optimal solution
US11589888B2 (en) 2017-12-28 2023-02-28 Cilag Gmbh International Method for controlling smart energy devices
US11389164B2 (en) 2017-12-28 2022-07-19 Cilag Gmbh International Method of using reinforced flexible circuits with multiple sensors to optimize performance of radio frequency devices
US11818052B2 (en) 2017-12-28 2023-11-14 Cilag Gmbh International Surgical network determination of prioritization of communication, interaction, or processing based on system or device needs
US11969142B2 (en) 2017-12-28 2024-04-30 Cilag Gmbh International Method of compressing tissue within a stapling device and simultaneously displaying the location of the tissue within the jaws
US20190201042A1 (en) 2017-12-28 2019-07-04 Ethicon Llc Determining the state of an ultrasonic electromechanical system according to frequency shift
US11864728B2 (en) 2017-12-28 2024-01-09 Cilag Gmbh International Characterization of tissue irregularities through the use of mono-chromatic light refractivity
US11540855B2 (en) 2017-12-28 2023-01-03 Cilag Gmbh International Controlling activation of an ultrasonic surgical instrument according to the presence of tissue
US11678881B2 (en) 2017-12-28 2023-06-20 Cilag Gmbh International Spatial awareness of surgical hubs in operating rooms
US11633237B2 (en) 2017-12-28 2023-04-25 Cilag Gmbh International Usage and technique analysis of surgeon / staff performance against a baseline to optimize device utilization and performance for both current and future procedures
US11896443B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Control of a surgical system through a surgical barrier
US11896322B2 (en) 2017-12-28 2024-02-13 Cilag Gmbh International Sensing the patient position and contact utilizing the mono-polar return pad electrode to provide situational awareness to the hub
US11576677B2 (en) 2017-12-28 2023-02-14 Cilag Gmbh International Method of hub communication, processing, display, and cloud analytics
US11786251B2 (en) 2017-12-28 2023-10-17 Cilag Gmbh International Method for adaptive control schemes for surgical network control and interaction
US11612444B2 (en) 2017-12-28 2023-03-28 Cilag Gmbh International Adjustment of a surgical device function based on situational awareness
US11464559B2 (en) 2017-12-28 2022-10-11 Cilag Gmbh International Estimating state of ultrasonic end effector and control system therefor
US11571234B2 (en) 2017-12-28 2023-02-07 Cilag Gmbh International Temperature control of ultrasonic end effector and control system therefor
US11432885B2 (en) 2017-12-28 2022-09-06 Cilag Gmbh International Sensing arrangements for robot-assisted surgical platforms
US11257589B2 (en) 2017-12-28 2022-02-22 Cilag Gmbh International Real-time analysis of comprehensive cost of all instrumentation used in surgery utilizing data fluidity to track instruments through stocking and in-house processes
US10758310B2 (en) 2017-12-28 2020-09-01 Ethicon Llc Wireless pairing of a surgical device with another device within a sterile surgical field based on the usage and situational awareness of devices
US11986233B2 (en) 2018-03-08 2024-05-21 Cilag Gmbh International Adjustment of complex impedance to compensate for lost power in an articulating ultrasonic device
US11707293B2 (en) 2018-03-08 2023-07-25 Cilag Gmbh International Ultrasonic sealing algorithm with temperature control
US11259830B2 (en) 2018-03-08 2022-03-01 Cilag Gmbh International Methods for controlling temperature in ultrasonic device
US11259806B2 (en) 2018-03-28 2022-03-01 Cilag Gmbh International Surgical stapling devices with features for blocking advancement of a camming assembly of an incompatible cartridge installed therein
US11090047B2 (en) 2018-03-28 2021-08-17 Cilag Gmbh International Surgical instrument comprising an adaptive control system
US11331101B2 (en) 2019-02-19 2022-05-17 Cilag Gmbh International Deactivator element for defeating surgical stapling device lockouts
CN109646109B (zh) * 2019-02-19 2021-04-13 深圳市世格赛思医疗科技有限公司 一种超声刀组织自适应切割止血控制方法及装置
US11751872B2 (en) 2019-02-19 2023-09-12 Cilag Gmbh International Insertable deactivator element for surgical stapler lockouts
CN109998617A (zh) 2019-04-29 2019-07-12 上海博洽医疗器械有限公司 多用途的腔镜外科器械
CN113811255A (zh) 2019-05-09 2021-12-17 捷锐士阿希迈公司(以奥林巴斯美国外科技术名义) 电外科系统和方法
GB2594438A (en) * 2019-12-05 2021-11-03 Creo Medical Ltd Electrosurgical instrument, generator and apparatus
US20210228262A1 (en) * 2020-01-29 2021-07-29 Covidien Lp System and methods for identifying vessels within tissue
US20210346083A1 (en) * 2020-05-07 2021-11-11 Gyrus Acmi, Inc. D/B/A Olympus Surgical Technologies America Electro-surgical device with stable jaw temperature
CN112006719A (zh) * 2020-08-31 2020-12-01 厚凯(北京)医疗科技有限公司 一种高频电刀
US20220117623A1 (en) * 2020-10-15 2022-04-21 Covidien Lp Ultrasonic surgical instrument
US11998228B2 (en) 2020-10-22 2024-06-04 Cilag Gmbh International Ultrasonic surgical instrument with a carrier kart and reusable stage
US11931059B2 (en) 2020-10-22 2024-03-19 Cilag Gmbh International Surgical instrument with a carrier kart and various communication cable arrangements
US12011217B2 (en) 2020-12-29 2024-06-18 Cilag Gmbh International Electrosurgical instrument with modular component contact monitoring
US20220202476A1 (en) * 2020-12-29 2022-06-30 Ethicon Llc Electrosurgical instrument with electrical resistance monitor at rotary coupling
US11992257B2 (en) 2020-12-29 2024-05-28 Cilag Gmbh International Energized surgical instrument system with multi-generator output monitoring
CN112716594B (zh) * 2020-12-31 2022-08-12 杭州堃博生物科技有限公司 射频操作对象数据异常的保护方法、射频主机和存储介质
US20240130778A1 (en) * 2021-03-02 2024-04-25 Covidien Lp Surgical instruments, systems, and methods incorporating ultrasonic and electrosurgical functionality
US20220409232A1 (en) * 2021-06-24 2022-12-29 Covidien Lp Energy based surgical instruments and systems
DE112021007732T5 (de) * 2021-07-26 2024-04-11 Olympus Medical Systems Corp. Energiebehandlungssystem
CN114191041B (zh) * 2021-12-09 2024-04-02 上海益超医疗器械有限公司 向外科器械输出驱动信号的方法、设备、装置及电子设备
CN114027937A (zh) * 2021-12-24 2022-02-11 上海益超医疗器械有限公司 向外科器械输出驱动信号的设备
CN114831725B (zh) * 2022-05-05 2024-01-26 以诺康医疗科技(苏州)有限公司 一种电外科发生器、电外科系统及其控制方法

Family Cites Families (82)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5657429A (en) 1992-08-10 1997-08-12 Computer Motion, Inc. Automated endoscope system optimal positioning
US5322055B1 (en) 1993-01-27 1997-10-14 Ultracision Inc Clamp coagulator/cutting system for ultrasonic surgical instruments
EP0699053B1 (fr) 1993-05-14 1999-03-17 Sri International Appareil chirurgical
US5792135A (en) 1996-05-20 1998-08-11 Intuitive Surgical, Inc. Articulated surgical instrument for performing minimally invasive surgery with enhanced dexterity and sensitivity
US6364888B1 (en) 1996-09-09 2002-04-02 Intuitive Surgical, Inc. Alignment of master and slave in a minimally invasive surgical apparatus
US6331181B1 (en) 1998-12-08 2001-12-18 Intuitive Surgical, Inc. Surgical robotic tools, data architecture, and use
US6231565B1 (en) 1997-06-18 2001-05-15 United States Surgical Corporation Robotic arm DLUs for performing surgical tasks
US5873873A (en) 1997-10-10 1999-02-23 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp mechanism
US5980510A (en) 1997-10-10 1999-11-09 Ethicon Endo-Surgery, Inc. Ultrasonic clamp coagulator apparatus having improved clamp arm pivot mount
CA2276316C (fr) 1998-06-29 2008-02-12 Ethicon Endo-Surgery, Inc. Methode d'equilibrage de lames chirurgicales ultrasonores asymetriques
US6309400B2 (en) 1998-06-29 2001-10-30 Ethicon Endo-Surgery, Inc. Curved ultrasonic blade having a trapezoidal cross section
US6459926B1 (en) 1998-11-20 2002-10-01 Intuitive Surgical, Inc. Repositioning and reorientation of master/slave relationship in minimally invasive telesurgery
US6325811B1 (en) 1999-10-05 2001-12-04 Ethicon Endo-Surgery, Inc. Blades with functional balance asymmetries for use with ultrasonic surgical instruments
JP4037582B2 (ja) 1999-12-02 2008-01-23 オリンパス株式会社 電気手術装置及び電気手術装置の出力制御方法
US6423082B1 (en) 2000-03-31 2002-07-23 Ethicon Endo-Surgery, Inc. Ultrasonic surgical blade with improved cutting and coagulation features
US6500176B1 (en) 2000-10-23 2002-12-31 Csaba Truckai Electrosurgical systems and techniques for sealing tissue
US6783524B2 (en) 2001-04-19 2004-08-31 Intuitive Surgical, Inc. Robotic surgical tool with ultrasound cauterizing and cutting instrument
CA2792000C (fr) 2001-06-29 2016-08-16 Intuitive Surgical, Inc. Mecanisme de poignet relie a une plate-forme
US6929644B2 (en) 2001-10-22 2005-08-16 Surgrx Inc. Electrosurgical jaw structure for controlled energy delivery
US7354440B2 (en) 2001-10-22 2008-04-08 Surgrx, Inc. Electrosurgical instrument and method of use
US7189233B2 (en) 2001-10-22 2007-03-13 Surgrx, Inc. Electrosurgical instrument
US7311709B2 (en) 2001-10-22 2007-12-25 Surgrx, Inc. Electrosurgical instrument and method of use
US7125409B2 (en) 2001-10-22 2006-10-24 Surgrx, Inc. Electrosurgical working end for controlled energy delivery
JP4610902B2 (ja) 2002-01-22 2011-01-12 サージレックス・インコーポレイテッド 電気外科用器具および使用法
US7169146B2 (en) 2003-02-14 2007-01-30 Surgrx, Inc. Electrosurgical probe and method of use
US9060770B2 (en) 2003-05-20 2015-06-23 Ethicon Endo-Surgery, Inc. Robotically-driven surgical instrument with E-beam driver
US7309849B2 (en) 2003-11-19 2007-12-18 Surgrx, Inc. Polymer compositions exhibiting a PTC property and methods of fabrication
US8182501B2 (en) 2004-02-27 2012-05-22 Ethicon Endo-Surgery, Inc. Ultrasonic surgical shears and method for sealing a blood vessel using same
US7220951B2 (en) 2004-04-19 2007-05-22 Surgrx, Inc. Surgical sealing surfaces and methods of use
US8800838B2 (en) 2005-08-31 2014-08-12 Ethicon Endo-Surgery, Inc. Robotically-controlled cable-based surgical end effectors
US7845537B2 (en) 2006-01-31 2010-12-07 Ethicon Endo-Surgery, Inc. Surgical instrument having recording capabilities
US20110295295A1 (en) 2006-01-31 2011-12-01 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical instrument having recording capabilities
US8992422B2 (en) 2006-03-23 2015-03-31 Ethicon Endo-Surgery, Inc. Robotically-controlled endoscopic accessory channel
US9675375B2 (en) 2006-03-29 2017-06-13 Ethicon Llc Ultrasonic surgical system and method
US8114104B2 (en) 2006-06-01 2012-02-14 Ethicon Endo-Surgery, Inc. Mechanism for assembly of ultrasonic instrument
US8684253B2 (en) 2007-01-10 2014-04-01 Ethicon Endo-Surgery, Inc. Surgical instrument with wireless communication between a control unit of a robotic system and remote sensor
US8057498B2 (en) 2007-11-30 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instrument blades
US8931682B2 (en) 2007-06-04 2015-01-13 Ethicon Endo-Surgery, Inc. Robotically-controlled shaft based rotary drive systems for surgical instruments
US8512365B2 (en) * 2007-07-31 2013-08-20 Ethicon Endo-Surgery, Inc. Surgical instruments
US9044261B2 (en) 2007-07-31 2015-06-02 Ethicon Endo-Surgery, Inc. Temperature controlled ultrasonic surgical instruments
US8623027B2 (en) 2007-10-05 2014-01-07 Ethicon Endo-Surgery, Inc. Ergonomic surgical instruments
US8573465B2 (en) 2008-02-14 2013-11-05 Ethicon Endo-Surgery, Inc. Robotically-controlled surgical end effector system with rotary actuated closure systems
US9179912B2 (en) * 2008-02-14 2015-11-10 Ethicon Endo-Surgery, Inc. Robotically-controlled motorized surgical cutting and fastening instrument
US8058771B2 (en) * 2008-08-06 2011-11-15 Ethicon Endo-Surgery, Inc. Ultrasonic device for cutting and coagulating with stepped output
US9386983B2 (en) 2008-09-23 2016-07-12 Ethicon Endo-Surgery, Llc Robotically-controlled motorized surgical instrument
US8491578B2 (en) * 2009-04-17 2013-07-23 Domain Surgical, Inc. Inductively heated multi-mode bipolar surgical tool
IN2012DN00339A (fr) * 2009-07-15 2015-08-21 Ethicon Endo Surgery Inc
US8663220B2 (en) 2009-07-15 2014-03-04 Ethicon Endo-Surgery, Inc. Ultrasonic surgical instruments
US9017326B2 (en) * 2009-07-15 2015-04-28 Ethicon Endo-Surgery, Inc. Impedance monitoring apparatus, system, and method for ultrasonic surgical instruments
US8461744B2 (en) 2009-07-15 2013-06-11 Ethicon Endo-Surgery, Inc. Rotating transducer mount for ultrasonic surgical instruments
US8956349B2 (en) 2009-10-09 2015-02-17 Ethicon Endo-Surgery, Inc. Surgical generator for ultrasonic and electrosurgical devices
US8939974B2 (en) 2009-10-09 2015-01-27 Ethicon Endo-Surgery, Inc. Surgical instrument comprising first and second drive systems actuatable by a common trigger mechanism
US9192431B2 (en) 2010-07-23 2015-11-24 Ethicon Endo-Surgery, Inc. Electrosurgical cutting and sealing instrument
US9545253B2 (en) 2010-09-24 2017-01-17 Ethicon Endo-Surgery, Llc Surgical instrument with contained dual helix actuator assembly
US20120078244A1 (en) 2010-09-24 2012-03-29 Worrell Barry C Control features for articulating surgical device
US9089327B2 (en) 2010-09-24 2015-07-28 Ethicon Endo-Surgery, Inc. Surgical instrument with multi-phase trigger bias
US9220559B2 (en) 2010-09-24 2015-12-29 Ethicon Endo-Surgery, Inc. Articulation joint features for articulating surgical device
US9782214B2 (en) 2010-11-05 2017-10-10 Ethicon Llc Surgical instrument with sensor and powered control
US9161803B2 (en) * 2010-11-05 2015-10-20 Ethicon Endo-Surgery, Inc. Motor driven electrosurgical device with mechanical and electrical feedback
WO2012135705A1 (fr) * 2011-03-30 2012-10-04 Tyco Healthcare Group Lp Instruments chirurgicaux ultrasonores
US9237921B2 (en) 2012-04-09 2016-01-19 Ethicon Endo-Surgery, Inc. Devices and techniques for cutting and coagulating tissue
US9724118B2 (en) 2012-04-09 2017-08-08 Ethicon Endo-Surgery, Llc Techniques for cutting and coagulating tissue for ultrasonic surgical instruments
US9226766B2 (en) * 2012-04-09 2016-01-05 Ethicon Endo-Surgery, Inc. Serial communication protocol for medical device
US9439668B2 (en) 2012-04-09 2016-09-13 Ethicon Endo-Surgery, Llc Switch arrangements for ultrasonic surgical instruments
US9788851B2 (en) * 2012-04-18 2017-10-17 Ethicon Llc Surgical instrument with tissue density sensing
US9681884B2 (en) * 2012-05-31 2017-06-20 Ethicon Endo-Surgery, Llc Surgical instrument with stress sensor
US20140135804A1 (en) * 2012-11-15 2014-05-15 Ethicon Endo-Surgery, Inc. Ultrasonic and electrosurgical devices
US9572622B2 (en) 2012-12-10 2017-02-21 Ethicon Endo-Surgery, Llc Bipolar electrosurgical features for targeted hemostasis
US9949785B2 (en) 2013-11-21 2018-04-24 Ethicon Llc Ultrasonic surgical instrument with electrosurgical feature
US9750521B2 (en) 2014-07-22 2017-09-05 Ethicon Llc Ultrasonic blade overmold
US10194972B2 (en) 2014-08-26 2019-02-05 Ethicon Llc Managing tissue treatment
CN204542303U (zh) * 2015-01-28 2015-08-12 吴江麦道纺织有限公司 降低组织热损伤的超声外科器械
AU2015249032B2 (en) * 2015-02-24 2017-03-23 Covidien Lp Ultrasonic surgical instrument with cooling system
US10321950B2 (en) 2015-03-17 2019-06-18 Ethicon Llc Managing tissue treatment
US10813684B2 (en) 2015-03-30 2020-10-27 Ethicon Llc Control of cutting and sealing based on tissue mapped by segmented electrode
US10617463B2 (en) 2015-04-23 2020-04-14 Covidien Lp Systems and methods for controlling power in an electrosurgical generator
US10034684B2 (en) * 2015-06-15 2018-07-31 Ethicon Llc Apparatus and method for dissecting and coagulating tissue
US11129669B2 (en) 2015-06-30 2021-09-28 Cilag Gmbh International Surgical system with user adaptable techniques based on tissue type
US10898256B2 (en) 2015-06-30 2021-01-26 Ethicon Llc Surgical system with user adaptable techniques based on tissue impedance
US11141213B2 (en) 2015-06-30 2021-10-12 Cilag Gmbh International Surgical instrument with user adaptable techniques
US11229474B2 (en) 2017-05-22 2022-01-25 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument with adjustable energy modalities and method for limiting blade temperature
US11051866B2 (en) 2017-05-22 2021-07-06 Cilag Gmbh International Combination ultrasonic and electrosurgical instrument having ultrasonic waveguide with distal overmold member

Also Published As

Publication number Publication date
WO2018217550A1 (fr) 2018-11-29
JP2020520720A (ja) 2020-07-16
US11278340B2 (en) 2022-03-22
US20180333185A1 (en) 2018-11-22
JP7278966B2 (ja) 2023-05-22
US11229474B2 (en) 2022-01-25
EP3629953B1 (fr) 2022-03-09
MX2019013903A (es) 2020-01-21
CN110662499B (zh) 2023-05-05
US20220202466A1 (en) 2022-06-30
BR112019023456B1 (pt) 2024-01-09
BR112019024297B1 (pt) 2024-02-06
JP2020520722A (ja) 2020-07-16
MX2019013876A (es) 2020-01-20
WO2018217547A1 (fr) 2018-11-29
BR112019024345B1 (pt) 2024-01-09
EP3634267A1 (fr) 2020-04-15
JP2023036997A (ja) 2023-03-14
CN110662499A (zh) 2020-01-07
WO2018217548A2 (fr) 2018-11-29
BR112019024345A2 (pt) 2020-06-16
MX2023012942A (es) 2023-11-13
CN110662498B (zh) 2023-01-17
CN110662498A (zh) 2020-01-07
BR112019024303A2 (pt) 2020-06-16
CN110662500B (zh) 2023-09-01
US20220202465A1 (en) 2022-06-30
JP2023026661A (ja) 2023-02-24
US11266455B2 (en) 2022-03-08
US20180333187A1 (en) 2018-11-22
WO2018217548A3 (fr) 2019-02-07
CN110662501B (zh) 2023-05-02
EP3634269A1 (fr) 2020-04-15
BR112019023459B1 (pt) 2024-01-09
US20180333188A1 (en) 2018-11-22
US11737804B2 (en) 2023-08-29
MX2019013902A (es) 2020-01-20
MX2019013877A (es) 2020-01-20
US11229475B2 (en) 2022-01-25
CN110662501A (zh) 2020-01-07
JP7159217B2 (ja) 2022-10-24
EP3634269B1 (fr) 2022-03-02
BR112019023456A2 (pt) 2020-06-30
JP2020520721A (ja) 2020-07-16
BR112019023459A2 (pt) 2020-06-30
US11259856B2 (en) 2022-03-01
MX2019013895A (es) 2020-01-20
EP3634268A1 (fr) 2020-04-15
JP2020520719A (ja) 2020-07-16
JP7500787B2 (ja) 2024-06-17
CN110662500A (zh) 2020-01-07
WO2018217552A1 (fr) 2018-11-29
WO2018217549A1 (fr) 2018-11-29
WO2018217551A1 (fr) 2018-11-29
EP3629954A2 (fr) 2020-04-08
JP7463107B2 (ja) 2024-04-08
US20230346447A1 (en) 2023-11-02
EP3629954B1 (fr) 2022-09-28
EP3634268B1 (fr) 2022-03-09
JP7254717B2 (ja) 2023-04-10
JP2020520726A (ja) 2020-07-16
US11229473B2 (en) 2022-01-25
CN110662503A (zh) 2020-01-07
US20180333182A1 (en) 2018-11-22
CN111031944B (zh) 2023-11-17
EP3634267B1 (fr) 2022-03-30
EP3634270A1 (fr) 2020-04-15
BR112019023653A2 (pt) 2020-05-26
CN111031944A (zh) 2020-04-17
MX2019013888A (es) 2020-01-20
EP3629953A1 (fr) 2020-04-08
US20180333189A1 (en) 2018-11-22
JP2020520725A (ja) 2020-07-16
BR112019024297A2 (pt) 2020-06-16
US20180333190A1 (en) 2018-11-22
BR112019023653B1 (pt) 2024-01-16
EP3634270B1 (fr) 2021-06-23
CN110662503B (zh) 2023-06-06

Similar Documents

Publication Publication Date Title
JP7500787B2 (ja) 生産クランプ力ベースの超音波封止プロセスでの複合超音波及び電気外科用器具並びに関連する方法
US20180333186A1 (en) Combination ultrasonic and electrosurgical system having eeprom and asic components

Legal Events

Date Code Title Description
B350 Update of information on the portal [chapter 15.35 patent gazette]
B06W Patent application suspended after preliminary examination (for patents with searches from other patent authorities) chapter 6.23 patent gazette]
B09A Decision: intention to grant [chapter 9.1 patent gazette]
B16A Patent or certificate of addition of invention granted [chapter 16.1 patent gazette]

Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 18/05/2018, OBSERVADAS AS CONDICOES LEGAIS